title: Effectiveness of an alcohol-based hand hygiene programme in reducing nosocomial infections in the Urology Ward of Binh Dan Hospital, Vietnam.
abstract: OBJECTIVE
  To determine the effectiveness of hand hygiene in a developing healthcare setting in reducing nosocomial infections (NIs).
  
  
  METHODS
  Prospective study measuring NI rates in a urology ward in Ho Chi Minh City, Vietnam, before and after implementation of a hand hygiene programme with an alcohol-based decontaminant, and compliance rates of medical staff and carers with hand hygiene using standardised observation sheets.
  
  
  RESULTS
  Incidence of NIs fell by 84%, from 13.1% to 2.1%, after implementation of the hand hygiene programme. Extended-spectrum beta-lactamase production was detected in 38.2%-50% of Enterobacteriaceae isolated from clinical samples. Length of patient stay and cost to the patient for antibiotics were reduced after implementation of the hand hygiene programme.
  
  
  CONCLUSIONS
  The hand hygiene programme was effective in reducing incidence of NIs, leading to shorter inpatient stays and reduced treatment costs. Such programmes with measurable outcomes can be implemented at minimal cost in developing health contexts and should be promoted in all healthcare settings.
authors.affiliation: Infection Control Department, Binh Dan Hospital, Ho Chi Minh City, Vietnam.
authors.forename: Kim V
authors.initials: KV
authors.lastname: Nguyen
authors.forename: Phuong Tran My
authors.initials: PT
authors.lastname: Nguyen
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Jones
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001424:Bacterial Infections / Q000191:economics / Q000382:microbiology / Q000517:prevention & control*; D015169:Colony Count, Microbial / Q000379:methods; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D019983:Guideline Adherence; D006225:Hand / Q000382:microbiology; D006235:Hand Disinfection / Q000379:methods* / Q000592:standards; D006293:Health Promotion; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D010564:Personnel, Hospital; D011446:Prospective Studies; D014744:Vietnam
chemical_list: D000891:Anti-Infective Agents, Local; D000431:Ethanol